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Organization

MICHELLE RENE CONDRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE RENE CONDRY LCSW (LICENSED SOCIAL WORKER)
(813) 407-0257
Entity
Organization

Contact information

Practice address
7862 W IRLO BRONSON HWY, # 209, KISSIMMEE, FL 34747-1764
(813) 407-0257
Mailing address
7862 W IRLO BRONSON HWY, # 209, KISSIMMEE, FL 34747-1764
(813) 407-0257

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW8414
FL

Other

Enumeration date
12/21/2009
Last updated
11/11/2011
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